| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,725.30 | $47,302.40 | $96,105.80 | |
Cigna
| Facility | $72,304.09 | $72,304.09 | $76,821.75 | |
Premera BCBS
| Facility | $7,500.00 | $27,943.35 | $48,978.14 | |
Providence
| Facility | $7,500.00 | $31,045.58 | $76,821.75 |